Provider Demographics
NPI:1548805278
Name:UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES LLC
Other - Org Name:UI HOME SOLUTIONS - MEDICAL SUPPLY STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SEDENKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:319-688-6951
Mailing Address - Street 1:2949 SIERRA CT SW
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-8503
Mailing Address - Country:US
Mailing Address - Phone:319-688-6968
Mailing Address - Fax:319-688-6985
Practice Address - Street 1:200 HAWKINS DR STE 1105
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-384-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-18
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies